Energy metabolism and fuel utilization.

1) Total energy expenditure during marathon training and competition is among the highest reported for any endurance activity. 2) Although training intensity for the marathon may vary between 60-125% of maximal physical working capacity, elite runners must run consistently at about 80-90% of VO2max in order to achieve successful competitive performances. 3) Earlier studies demonstrated that carbohydrate was the preferential fuel for endurance exercise, but more recent studies have suggested a greater role for lipids than previously thought. Also, proteins may contribute as much as 5-10% of the total energy to a marathon performance. 4) The preponderance of Type I and IIA skeletal muscle fibers among marathon runners and their significantly improved storage capacity for intramuscular lipids and increased mitochondrial density may account for increased reliance on oxidation of fats.